| NPI | 1952693517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9302082) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 21137548) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2013-06-12 |